Merle D Wiseman (NPI# 1386668762, PAC ID# 0345136958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386668762 |
| PAC ID by PECOS | 0345136958 |
| Professional Enrollment ID | I20110617000033 |
| Full Name | Merle D Wiseman |
| Organization Legal Name | SOUTH ARKANSAS REGIONAL HEALTH CENTER |
| Address |
715 N College Ave El Dorado AR 71730-4403 |
| Phone Number | 8708627921 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0941199988 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040088 | MEDICAL CENTER OF SOUTH ARKANSAS |
| Address | Phone | Organization |
|---|---|---|
| 715 N College Ave, El Dorado, AR 71730-4403 | 8708627921 | SOUTH ARKANSAS REGIONAL HEALTH CENTER |
| Organization Legal Name | SOUTH ARKANSAS REGIONAL HEALTH CENTER |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diedra Hayman | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Rollie W Flaherty | Clinical Psychologist | South Arkansas Regional Health Center | 412 N Vine, Magnolia, AR 71753-2842 |
| Richard Worth Peckham | Internal Medicine | South Arkansas Regional Health Center | 211 Jackson St Sw, Camden, AR 71701-3941 |
| Terri A Rowe | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Richard L Sylvester | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Alyssa Dykes | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Gortrell Cox | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Katherine Jan Sims | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Melissa A Butler | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Street Address |
715 N COLLEGE AVE |
| City | EL DORADO |
| State | AR |
| Zip | 71730-4403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diedra Hayman | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Terri A Rowe | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Richard L Sylvester | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Alyssa Dykes | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Gortrell Cox | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Katherine Jan Sims | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Meghann D Austin | Chiropractic | 715 N College Ave, Fayetteville, AR 72701-3407 | |
| Melissa A Butler | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Watson Ii | Family Medicine | 3108 N W Ave, El Dorado, AR 71730-2731 | |
| Tanya M Golden | Nurse Practitioner | Family Care of Southern Arkansas, Ltd | 3108 N W Ave, El Dorado, AR 71730-2731 |
| Steven T Sowell | Optometry | 2730 N W Ave, El Dorado, AR 71730-3124 | |
| Anita M Burleson | Nurse Practitioner | 1000 N College Ave, El Dorado, AR 71730-3711 | |
| Christie F Skinner | Nurse Practitioner | 1000 N College Ave, El Dorado, AR 71730-3711 | |
| Jerry H Grant | Family Medicine | 1320 N Highland Ave, El Dorado, AR 71730-3929 | |
| Johnnie Hinton Iii | Nephrology | Arkansas Renal Group Pa | 620 W Grove St, Suite 101, El Dorado, AR 71730-4409 |
| Michael D Schonefeld | Nephrology | Arkansas Renal Group Pa | 620 W Grove St, Suite 101, El Dorado, AR 71730-4409 |
| Lisa B Mcadams | Nurse Practitioner | Arkansas Renal Group Pa | 620 W Grove St, Suite 101, El Dorado, AR 71730-4409 |
| Julie N Wylie | Nurse Practitioner | Arkansas Renal Group Pa | 620 W Grove St, Suite 101, El Dorado, AR 71730-4409 |
| Find all physicians in zip 71730 | |||
| City | EL DORADO |
| Zip Code | 71730 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EL DORADO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Merle D Wiseman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.